Appeals Grievance Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 10, 2025
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Job Description:
A company is looking for an Appeals & Grievance Specialist
II.
Key Responsibilities
Resolve complex member and provider appeals and grievances
Support junior staff and contribute to process improvements
Ensure compliance with federal, state, and organizational
regulations
Required Qualifications, Training, and Education
Bachelor's degree in healthcare, business, or a related field; or
equivalent relevant experience required
Two years of experience in appeals and grievances or a related
healthcare/health insurance field required
Experience in data analysis and reporting required
Experience in computer applications, including Microsoft Office
Suite, required
Keywords: VirtualVocations, Irvine , Appeals Grievance Specialist, Other , Vista, California
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